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Electronic Funds Transfer Request Form

Electronic Funds Transfer Request form 06/20 [EFT] Page 1 of 1 *13322-20b 1*CONTACT INFORMATION: Pacific Life Insurance Company Box 2378 Omaha, NE 68103-2378 Clients: (800) 722-4448 Financial Professionals: (800) 722-2333 CONTACT INFORMATION (for New York only): Pacific Life & Annuity Company Box 2829 Omaha, NE 68103-2829 Clients & Financial Professionals: (800) 748-6907 Web Site: ALL OVERNIGHT DELIVERIES: Pacific Life Insurance Company 6750 Mercy Rd, RSD Omaha, NE 68106 Use this form to: Add or update bank account information for future withdrawals.

2 ELECTRONIC FUNDS TRANSFERS (EFTs) To provide electronic funds transfer information, you must attach an original voided check or deposit slip to this form. It generally takes 2-3 business days from the time a distribution is processed from your contract to the time the funds are

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